Class: Analgesic, antipyretic
Use: Mild pain, Headache
S/E: LIVER TOXICITY
Nursing Considerations: Monitor for elevated liver enzymes. Infant Tylenol drops are very concentrated, careful not to confuse pediatric Tylenol with infant drops when administering to children. Be aware of the form of Tylenol to be given.

Class: Antiviral
Use: Shorten the duration and decrease herpes outbreaks. Treatment of chicken pox, shingles.
S/E: Headache, Nausea, vomiting, diarrhea, acute renal failure. Nursing Considerations: Observe infusion site during infusion and for a few days following infusion for signs of tissue damage. Monitor I&O and hydration status. Keep patient adequately hydrated during first 2 h after infusion to maintain sufficient urinary flow and thus prevent precipitation of drug in renal tubules. Consult physician about amount and length of time oral fluids need to be pushed after IV drug treatment.

EMLA Cream

Class: Topical anesthetic (lidocaine/prilocaine)
Use: Topical anesthetic on normal intact skin for local anesthesia
S/E: itching, heat sensation. Edema, soreness, aching, numbness
Nursing Considerations: Do not apply to broken skin. Monitor for local skin reactions including erythema, edema, itching, abnormal temperature sensations, and rash. These reactions are very common and usually disappear in 1–2 h.

Chloral Hydrate

Class: Sedative, PO, rectal
Use: Chloral hydrate is a sedative-hypnotic which does not affect sleep physiology (e.g., REM sleep) in low doses. Has little or no analgesic action. Short-term management of insomnia, for general sedation (especially in the young and the older adult), for sedation before and after surgery, to reduce anxiety.
S/E: Angioedema, ketonuria, renal and hepatic damage, sudden death. Arrhythmias, cardiac arrest, Nausea, vomiting, diarrhea. Nursing Considerations: Not intended for relief of pain, it may cause excitement and delirium. Do not discontinue abruptly following prolonged use. Sudden withdrawal from dependent patients may produce delirium, mania, or convulsions.